scholarly journals Integrated reproductive health services: the perspectives of providers

Curationis ◽  
2004 ◽  
Vol 27 (1) ◽  
Author(s):  
P. Maharaj
Keyword(s):  
Family Planning ◽  
Pregnancy Prevention ◽  
Integrated Services ◽  
Health Providers ◽  
Reproductive Health Services ◽  
Group Discussions ◽  
Sexually Transmitted ◽  
Aids Epidemic ◽  
Depth Interviews

With the advent of the AIDS epidemic the focus of family planning programmes has shifted from an emphasis on pregnancy prevention to include disease prevention. The move towards integration has meant a major re-orientation in the role of health providers. This article seeks to expand knowledge about the implementation of integrated services from the perspective of providers. It focuses more specifically on the provider’s perceptions and experiences of integrated services. A range of methods is used to obtain information from providers, including an inventory of health facilities, in-depth interviews and focus group discussions. The results suggest that the majority of providers expressed favourable attitudes to integrated services. Integrated services are seen as a more client centred approach. However, there is a lack of clarity about the precise form that integration should take. As a result, providers seem more comfortable with the traditional focus on family planning and maternal and child health than sexually transmitted infections.

scholarly journals Quick and collaborative response to teenage pregnancies in a poor semi-rural area of Belgium

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Déom ◽  
L Ben Abdelhafidh ◽  
N Annez ◽  
C Glorie ◽  
M Roland
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Rural Areas ◽  
Sexual And Reproductive Health ◽  
Health Clinic ◽  
Local Health ◽  
Reproductive Health Services ◽  
Sexually Transmitted ◽  
Victims Of Violence ◽  
The City

Abstract Early pregnancies are often linked to precarious situations. Even if Belgium has seen a decrease in teenage pregnancies, in the former mining region of the Hainaut there are still twice as many births to young women under 20 compared to the national rate. Colfontaine is one of the poorest cities in Belgium. Last year, one of the local high schools counted 10 pregnant teenagers out of 450 students. Médecins du Monde was already present in the city at the time with a mobile health clinic called the Médibus. In response, we carried out a mapping of the local sexual and reproductive health actors. The lack of accessibility to social and health structures capable of welcoming teenagers anonymously and free of charge quickly emerged as a problem, the nearest family planning center being located 30 minutes away by bus. In September 2019, in partnership with 5 local health actors, we decided to reshape the Médibus into the Adobus in order to offer family planning consultations, health promotion and harm reduction activities at the high school once a week. In addition to offering health information services, we also aim to detect teenagers experiencing vulnerable situations such as addiction, violence, gender issues and refer them to appropriate services. Halfway through the project, we met 430 teenagers in 14 afternoons. The most common reasons for consultation (N = 310) were questions related to contraception for 29% and to sexually transmitted infections for 24,5%. 70,9% of teenagers received condoms and 13 girls were tested for pregnancy. One girl received a morning-after pill. 3 teenagers with addiction problems and 17 victims of violence were detected. The teams referred 18 teenagers to other services. The success of this outreach project confirms the need for information regarding sexual and reproductive health for teenagers living in precarious situations as well as the need to develop reachable and affordable sexual and reproductive health services in semi-rural areas. Key messages Outreach is an efficient approach to respond to teenagers’ needs in poor semi-rural areas. Outreach facilitated the detection of early pregnancies, addiction and violence issues among teenagers.

Effect of social capital on agribusiness diversification intention in the emerging market

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Le Dang Lang ◽  
Abhishek Behl ◽  
Nguyen Trung Dong ◽  
Yama Temouri ◽  
Nguyen Hong Thu
Keyword(s):  
Social Capital ◽  
Global Economy ◽  
Structural Equation ◽  
Emerging Market ◽  
Measurement Scale ◽  
Equation Modeling ◽  
Group Discussions ◽  
Content Type ◽  
Depth Interviews

PurposeCoronavirus disease 2019 (COVID-19) has seriously affected the global economy. How agribusinessmen are overcoming this crisis is being noticed in emerging markets. Using social capital to diversify agribusiness for getting more customers is a useful solution for the growth of agribusiness. However, there is a lack of evidence on the aggregate measurement scale of social capital and the influence of behavioral goals on the intention toward agribusiness diversification. Therefore, this study aims to develop an integrated measurement of social capital and investigate its effect on agribusiness diversification intention using the expanded theory of planned behavior (TPB).Design/methodology/approachA mixed-methods approach is used, including four in-depth interviews, three focus group discussions and two surveys. Structural equation modeling is applied to a sample of 484 respondents to test the proposed hypotheses.FindingsThe study shows the role of social capital in influencing the intention to diversify agribusiness under the premises of the resource-based view (RBV). The scale of social capital is also developed, which is the first integrated measurement of this asset. The findings contribute significantly to the existing knowledge of social capital, the TPB and diversifying agribusiness.Originality/valueThis is the first study to explore the comprehensive effect of the facets of social capital on behavioral intention through behavioral goals and determinants of the TPB under the premises of the RBV. The findings will help emerging economies, for example, Vietnam, where most farmers are family business owners or microscaled entrepreneurs in agriculture.

scholarly journals Faith Effect and Voice on Early Marriage in a Nigerian State

SAGE Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 215824402091951
Author(s):  
Jimoh Amzat
Keyword(s):  
Adolescent Girls ◽  
Critical Role ◽  
Early Marriage ◽  
Group Discussions ◽  
Faith Leaders ◽  
The Social ◽  
Key Informant ◽  
Second Category ◽  
Depth Interviews

The rate of early marriage is 87% in northwest Nigeria, although it is 56% in Kaduna. One major issue is that early marriage is often rationalized as a religious norm. This study explores the role of faith leaders in advancing the cause of adolescent girls regarding the timing of marriage in Kaduna state. This qualitative study took place in three local government areas: Chikun (Mixed Christians and Muslims), Makarfi (majority Muslims), and Zangon-Kataf (majority Christians) were purposively selected to have a variety of mixed religious contexts. Using purposive sampling methods, the researcher conducted 24 focus group discussions with adolescent girls, 24 in-depth interviews with faith leaders, and 12 key informant interviews with other stakeholders. The study used a framework method for analyzing qualitative data. The study found that faith leaders play essential roles in rationalizing or discouraging early marriage through preaching and other activities. The study identifies three categories of faith leaders concerning early marriage. Some are proactive, discoursing about it. The second category is the passive faith leaders, somehow indifferent but has never preached against or in favor of early marriage. The last set consists of faith leaders promoting early marriage—who think early marriage is still beneficial. The study recommends that considering the social position of faith leaders and critical role in sanctioning marital unions, they could be considered as a vital link in efforts to curtail early marriage.

scholarly journals Landlords’ and Compound Managers’ Role in Improving and Sustaining Shared Latrines in Three Dhaka City Slums

Water ◽  
2020 ◽  
Vol 12 (7) ◽  
pp. 2073
Author(s):  
Farzana Yeasmin ◽  
Mahbubur Rahman ◽  
Stephen P Luby ◽  
Jyoti Bhushan Das ◽  
Farzana Begum ◽  
...  
Keyword(s):  
Leadership Role ◽  
Organizational Changes ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Hygiene Practices ◽  
Sanitation And Hygiene ◽  
Key Informant ◽  
Improved Sanitation ◽  
Depth Interviews

(1) Background: Residents of Dhaka slums frequently lack clean and functional shared latrines. We explored the role of landlords and compound managers in promoting latrine cleanliness in the intervention arm of a randomized trial; (2) Methods: We conducted focus group discussions, key informant interviews, and in-depth interviews with community health promoters, landlords, and compound managers to better understand the decision-making process, barriers to contributing to sanitation, and cleanliness of shared latrines. (3) Results: Landlords’ and compound managers’ engagement in promoting clean and functional latrines depended, in part, on their own proximity to the properties they own and manage. The compound managers played a leadership role through engagement with health promoters, oversight of implementation of a cleaning schedule, and support for installation and maintenance of sanitation hardware, resulting in improved sanitation practices; (4) Conclusions: Interventions in slums in Bangladesh should consider engaging landlords and compound managers in efforts to bring about structural and organizational changes to support the adoption of improved water, sanitation, and hygiene practices.

Language and identity in the context of conflict: the case of ethnolinguistic communities in South Darfur State

2015 ◽  
Vol 2015 (235) ◽  
Author(s):  
Dhahawi S. A. Garri ◽  
Abdel Rahim Hamid Mugaddam
Keyword(s):  
Ethnic Identities ◽  
Language And Identity ◽  
Internally Displaced Persons ◽  
Group Discussions ◽  
Native Languages ◽  
Ethnolinguistic Vitality ◽  
Internally Displaced ◽  
Item Questionnaire ◽  
Depth Interviews

AbstractThis study investigates the patterns of self-assertiveness by using Arabic and other native languages among the ethnic groups characterised by ethnolinguistic vitality in Nyala, the capital of South Darfur State, and the satellite internally displaced persons’ camps. The study also looks into how these communities perceived the role their native languages could play in the construction of their ethnic identities. In addition, factors influencing the construction of ethnic identities were investigated. Data pertaining to language perceptions on identity, and the role of conflict in the process of identity construction were collected. To this end, four tools were employed to collect the data: a thirteen-item questionnaire administered to 711 respondents; 12 focus group discussions held with 112 participants; in-depth interviews with 20 persons; and participant observations. The study came to a number of conclusions, the most important of which were: (a) the communities investigated were found to have revitalised their native languages by taking pride in them in different domains; (b) there was a perceived aversion towards Arabic across the groups studied; (c) there was a conscious revitalisation of ethnolinguistic identities; and (d) the current conflict has played an important role in the emergence of revitalised ethnolinguistic identities.

scholarly journals Female condom acceptability in urban India: Examining the role of sexual pleasure

2017 ◽  
Vol 23 (2) ◽  
pp. 218-228 ◽  
Author(s):  
Jessamyn Bowling ◽  
Brian Dodge ◽  
Nyamat Bindra ◽  
Bhaktiben Dave ◽  
Ritika Sharma ◽  
...  
Keyword(s):  
Structural Changes ◽  
Female Condom ◽  
Sexual Pleasure ◽  
New Delhi ◽  
Group Discussions ◽  
Sexually Transmitted ◽  
Individual Interviews ◽  
Urban India ◽  
Female Condoms

This qualitative study examined the acceptability of female condoms in urban India, with a focus on sexual pleasure. We conducted focus group discussions with 50 women and 19 men, as well as a small number of individual interviews with women ( n = 3), in Chennai and New Delhi. Perceived benefits of female condoms included protection against unintended pregnancy and sexually transmitted infections, increased sense of empowerment for women, and simple clean up. The most common drawback was reduced sensation. Participants suggested structural changes to the female condom to ease insertion and use. Consent and privacy were discussed as increasing sexual pleasure. Pleasure should be acknowledged in design and education efforts to increase female condom use.

scholarly journals The cutting edge in the blunt space: an anthropological construct of auxiliary nurse midwives’ social world in the community

2013 ◽  
Vol 1 (1) ◽  
pp. 10
Author(s):  
Avanish Kumar ◽  
Meerambika Mahapatro
Keyword(s):  
Health System ◽  
Uttar Pradesh ◽  
Health Providers ◽  
Public Health Services ◽  
Auxiliary Nurse ◽  
Nurse Midwives ◽  
Depth Interviews ◽  
Child Health Programme ◽  
Health Programme

Auxiliary nurse midwives (ANMs) are the most peripheral health providers and manage the rural health sub-centre in a community. They mediate directly between the community and the health system for the management of Maternal and Child Health Programme in India. The purpose of this study was to find out the role of cultural factors, such as ANMs’ caste, age, marital status, being non-resident in the working village and other social factors regarding their acceptance in the community. The study is exploratory and qualitative. The area of study was a multi-caste remote village, Mavaibhachan, in Kanpur Dehat district of Uttar Pradesh, India. Data were collected through in-depth interviews and fieldwork notes taken during and immediately after the interviews with ANMs, and thematically analyzed. Our results show that if ANMs belong to a different caste group, do not live in the working village and are relatively younger, they are socially insecure and stressed and the community hardly accepts them. Despite direct interface with the community, their social status and lowest position in the health system is reflected in acceptability and recognition. The position of ANMs needs to be strengthened, within society and the health system. In order to make public health services effective and efficient the health system has to reduce stratification based on role and status.

The making and transforming of a transnational in dialog: Confronting dichotomous thinking in knowledge production, identity formation, and pedagogy

2020 ◽  
Vol 15 (3) ◽  
pp. 197-216 ◽  
Author(s):  
Phan Le Ha ◽  
Azmi Mohamad
Keyword(s):  
Identity Formation ◽  
Knowledge Production ◽  
Academic Discipline ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Academic Mobility ◽  
Research And Teaching ◽  
Depth Interviews ◽  
East West

This article, through autoethnographic narrative and reflection, in-depth interviews, and focus group discussions, explores how the transnational academic mobility experiences of a Muslim scholar of Islam based in Brunei may influence his identity, research, and teaching. It pinpoints how transnational academic mobilities could (re)produce, sustain and endorse East/West, local/global, and religious/secular dichotomies and binary thinking. Likewise, it shows that transnational academic mobilities often generate ambiguous and divided spaces concerning knowledge production, pedagogy, and identity formation. The article also maintains that contextualizing and engaging (with) the specificity and particularity of place and academic discipline are pivotal in studying transnational academic mobilities. Methodologically, it highlights the role of autoethnographic reflection in bringing out complex experiences and accounts that academics undergo but rarely acknowledge and conceptualize in scholarly work. Such accounts and experiences serve as reminders of the importance of humility, trust, ethics, and reflexivity in academia. Transnational academic mobilities, after all, must not be privileged.

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